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General NPI Number Information
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NPI Number | 1407723141
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Entity Type | Individual
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Provider Name | ZACHARY SHEWITZ
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Gender | Male
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 2446 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3233
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Country | US
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Telephone | 203-298-9005
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Fax | 203-535-0023
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Provider Business Mailing Address
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Address Line | 300 S PINE ISLAND RD STE 243
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City | PLANTATION
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State | FL
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Zip | 33324-2631
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Country | US
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Telephone | 954-644-9956
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Fax | 954-337-0119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 189047
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License Number State | CT
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